Digital Commons Network^™

Positive Approaches To Overcoming The Stigma Of Disability, Noel A. Ysasi, Roy K. Chen, Megan E. Jones

School of Rehabilitation Services & Counseling Faculty Publications

People with disabilities often face prejudice and discrimination because of their physical and/or mental deviance from norms subjectively defined by society. The stigma associated with having a disability can have a negative impact on the quality of life among this population. The purpose of this paper is to discuss theory-based strategies and approaches that people with disabilities can adopt to overcome and mitigate the adverse effects of a stigmatizing disability. Specifically, the paper uses the hope theory and positive psychology theory as foundations to pave way for weaving spiritual well-being, resilience, and optimism into psychoeducation efforts to help people with …

Rehabilitation Services, Self-Advocacy And Psychosocial Adaptation As Determinants Of Employment Among Persons With Spinal Cord Injury, Veronica I. Umeasiegbu, Malachy L. Bishop

School of Rehabilitation Services & Counseling Faculty Publications

Objectives: The purpose of this study was to investigate the factors that determine employment in adults with Spinal Cord Injury (SCI).

Methods: Participants were community-dwelling adults with SCI from three states of the United States. Participants included 101 adults who have lived with SCI for at least one year before the onset of the study. Cross-sectional design through the use of questionnaire was used in this research. Participants were recruited through purposive sampling. Descriptive analysis, correlation analysis, regression analysis, and path analysis were used to analysis the study data.

Results: The results of this study suggest that age, education, and …

A Second Chance: Employers’ Perspectives In Hiring Individuals In Addiction Recovery, Alicia B. Becton, Roy K. Chen, Teresia M. Paul

School of Rehabilitation Services & Counseling Faculty Publications

There is a constant debate that employers are not adequately prepared to hire individuals in addiction recovery for a number of reasons. Literature suggests lack of awareness, knowledge, and skills necessary to interact with individuals in addiction recovery as common factors impacting employment outcomes. The purpose of the study was to use open-ended questions to examine employer perspectives toward hiring individuals in addiction recovery. Furthermore, the authors examined gender, business industry, and employer profession to identify any common factors between groups. Major themes in the study included employability, available supports and resources for business owners, influence of societal biases, and …

Acculturation And Filial Piety As Mediators Of The Relationship Between Caregiver Burden And Gender-Role Expectations In Hispanic-American Rehabilitation Services Students, Roy K. Chen, Bryan Austin, Chien-Chun Lin

School of Rehabilitation Services & Counseling Faculty Publications

Purpose: Hispanic-Americans are the largest ethnic minority group in the United States. The need to care for older Hispanics has become an important issue as they now enjoy longer life expectancies due to better access to healthcare and less labor participation in hazardous occupations. The present study examined whether the association between caregiver burden and gender-role expectations is mediated by acculturation and filial piety.

Method: The sample consisted of 93 Mexican-American rehabilitation services students enrolled at a large public university in Texas. The four instruments used in the study were the Zarit Burden Interview, the Bem Sex-Role Inventory, the Acculturation …

Life Care Planning In A Country With For-Profit Medicine, Rigel Macarena Pinon, Irmo Marini

School of Rehabilitation Services & Counseling Faculty Publications

No abstract provided.

The Use Of Employment/Vocational Rehabilitation Services For Persons With Hiv/Aids And Substance Abuse: A Potential Health Benefit, Abdoulaye Diallo, Chia Vang, Belinda Rivas, Antonio Aguirre, Carl Flowers

School of Rehabilitation Services & Counseling Faculty Publications

This study investigates Vocational Rehabilitation (VR) services related to competitive employment closure among non-Hispanic Blacks (NHB), non-Hispanic Whites (NHW), and Hispanics with HIV/AIDS and substance use disorder (SUD). Data of 4150 was extracted from the Rehabilitation Services Administration (RSA-911) database. Descriptive statistics and multi-variate analysis showed consumers who received SSI and Medicare were less likely to be employed than those who did not, and, NHW who received rehabilitation counseling and guidance benefited the most compared to NHB who did not. Rehabilitation counselors can assist minorities with HIV/AIDS and SUD secure employment given the positive effects of employment for this population. …

Managing Anxiety In Clinical Supervision, Hung-Jen Kuo, Trenton J. Landon, Annemarie Connor, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

Anxiety impacts both learning and performance. While the literature is replete with portrayals of the anxious student in clinical training, close examination of practical techniques to manage anxiety and its impacts on both supervisee and supervisor is lacking. This article examines the nature and sources of anxiety, instruments used to measure and track anxiety, and interventions for managing anxiety in clinical supervisory relationships. Skilled management of anxiety within the supervisory dyad fosters optimal learning and performance. Supervisors should seek out supervision trainings specific to interventions in managing anxiety and fostering professional counselor development.

Positive Psychology And Hope As Means To Recovery From Mental Illness, Jinhee Park, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

The field of psychiatric rehabilitation has seen a paradigm shift in its perceptions of symptom reduction, recovery, and restoration of personal-growth and -development. Recovery is subjective in nature, as no two individuals achieve identical rehabilitation outcomes; the process is dynamic and influenced by an array of personal and environmental factors, all of which can facilitate a deeply personal, unique progression that changes one's attitudes, values, feelings, goals, skills, and roles. The concept of positive psychology is relevant to the perception from mental illness. Positive psychology seeks to understand what makes life worth living and encourages the use of mental strengths …

Factors Influencing The Decisions Of Women Small Business Owners On Hiring People With Disabilities, Roy K. Chen, Stephen A. Zanskas, Hung-Jen Kuo, Noel A. Ysasi

School of Rehabilitation Services & Counseling Faculty Publications

Despite the passage of disability rights legislation in the United States, individuals with disabilities continue to experience high unemployment and underemployment rates than their counterparts without disabilities. The purpose of the study was to examine the attitudes of women small business owners towards hiring individuals with disabilities, and to determine what factors influence their hiring decisions. A total of 80 women small business owners in a southwestern U.S. state took part in the study. The Employer Attitudes Questionnaire (EAQ) and the Marlowe-Crowne Social Desirability Scale Short Form-C (M-C Form C) were used to assess participants’ attitudes. The results of a …

Physiatrists' Professional Opinions Of Secondary Complications After Sci, Noel A. Ysasi, Irmo Marini, Bradley Mcdaniels, Roy K. Chen, Lisa R. Dunkley, Shelby Kerwin

School of Rehabilitation Services & Counseling Faculty Publications

The professional opinions of physiatrists were collected to ascertain the likelihood of occurrence, frequency of hospitalization, and treatment required as a direct result of 13 secondary complications (SCs) of two otherwise healthy males in their mid-20s, one with a C5-C6 tetraplegia and the other with T6 paraplegia spinal cord injury. Physiatrists responded to our online survey and overall, a general consensus was found among practitioners. Descriptive statistics was implemented with details outlining the frequency, mean, standard deviations, and the probability (51% or greater) versus possibility (50% or less) of SC occurrence is provided. Implications for life care planners and recommendations …

The Use Of Feedback In Group Counseling In A State Vocational Rehabilitation Setting, Saara Grizzell, Julie Smart, Michael J. Lambert, Jamison Fargo

School of Rehabilitation Services & Counseling Faculty Publications

This study examined the impact of providing progress feedback to individuals with disabilities receiving services at a state vocational rehabilitation (VR) agency. Thirty individuals were randomly assigned to receive either group therapy (treatment-as-usual, TAU) or group therapy plus feedback (treatment, Fb) during a 10-week counseling program at one of five agency offices. Each week, participants attended a 90-minute session and completed a measure of mental health (Outcome Questionnaire-45). Longitudinal multilevel models were used to evaluate the hypothesis that participation in the Fb group would lead to improved mental health. The effect of the intervention was conditional on receipt of public …

A Comparison Of Self-Acceptance Of Disability Between Thai Buddhists And American Christians, Roy K. Chen, Wilaiporn Kotbungkair, Alicia D. Brown

School of Rehabilitation Services & Counseling Faculty Publications

Having a disability can significantly change a person’s life in many aspects. Research has shown that people with disabilities collectively have diminished access and fewer opportunities to pursue education, find gainful employment, and engage in intimate relationships. Self-acceptance of disability is, therefore, critical to help build resilience, confidence, and psychological well-being in this population. The purpose of the study was to compare the self-acceptance of disability in international settings, specifically in the context of religions. The sample of the study included 98 Thai Buddhists and 95 American Christians with neuromuscular disorders. Constructs used for the study included demographic characteristics, Hope …

Investigating Educators’ Views Of Sexuality, Hiv And Aids Education In Working With Students With Disabilities In South African Schools, Julia S. Louw, John Kosciulek, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

The misconception that persons with disabilities are asexual and sexually inactive often relegates teaching sexuality education in special needs schools to a priority of low importance. The access, or lack thereof, to such information causes students lvith disabilities to be at an increased risk of HIV infection; therefore, providing them with sexuality education is imperative. The purpose of the present study was to examine the teachers' and childcare providers' views of teaching sexuality, HIV, and AIDS programs in special needs schools. A survey questionnaire was employed to collect the data. The results showed that among the four major study constructs, …

Hope Model: A Method Of Goal Attainment With Rehabilitation Services Clients, Wendy A. Coduti, Barbara Schoen

School of Rehabilitation Services & Counseling Faculty Publications

The construct of hope has been studied across multiple disciplines and with varying populations. Findings consistently show that high hope individuals are more effective in reaching their goals. This paper will look at the developmental process of Snyder's hope theory, its basic tenets and the impact of barriers or emotions on the process. We will also examine the role hope can play in the field of rehabilitation counseling including the tools necessary to build and facilitate hope in individuals with disabilities.

Conceptualizing The Use Of Cognitive Interventions Among Persons With Intellectual Disabilities Who Experience Depression, Abdoulaye Diallo, Shawn P. Saladin, Darlene A.G. Groomes, Jerome Fischer, Sandra Hansmann

School of Rehabilitation Services & Counseling Faculty Publications

Depression can affect the lives of all persons and can have especially profound implications on those with cognitive limitations; however, depression need not be an insurmountable roadblock to employment for persons with intellectual disabilities. Cognitive interventions - such as life story approach, socio-cognitive, and rational emotive behavior therapy-can be effective for litigating problems with depression among those with cognitive limitation including employment-related barriers due to depression. This article reviews how counselors can use cognitive interventions' behavioral and cognitive components to assist those with intellectual disabilities with depression.

Attendant Care And Spinal Cord Injury: Usage Patterns And Perspectives For Those With Life Care Plans, Tanya Rutherford-Owen, Irmo Marini

School of Rehabilitation Services & Counseling Faculty Publications

The provision of attendant care services is one of the costliest services needed by many individuals following a spinal cord injury (SCI). The current study examined consumption patterns of 55 adults with SCI who had a life care plan developed. Respondents were asked about various aspects of attendant care including number of hours utilized, satisfaction, level and type of care, (i.e. unpaid care versus private hire), received prior to and following life care plan development and settlement. Respondents provided open responses to explain reasons for satisfaction and dissatisfaction with attendant care. Results indicated more respondents received attendant care services following …

Development Of Social Learning Program For Students In Undergraduate Deaf Rehabilitation Program Undergraduate Deaf Rehabilitation Program, Sandra Hansmann, Shawn P. Saladin, Sonia Quintero

School of Rehabilitation Services & Counseling Faculty Publications

Service-learning models have long since provided students the opportunities to connect with the community they will serve upon graduation. Valley-ICAN (Independent, Confident, Activities, Network) was developed to supplement a capstone practicum requirement for an undergraduate rehabilitation program with a concentration in services to individuals who are deaf or hard of hearing and to help reinforce the curriculum,by connecting the students to the deaf community and the service providers.This article describes the program and its benefits to the students and the community.

A Survey Of Speech-Language Pathologists: Long-Term Speech Therapy Needs For Patients Within Three Neurological Conditions, Kara J. Ayala, Irmo Marini, Karen Luckett, E. Lisette Blanco

School of Rehabilitation Services & Counseling Faculty Publications

Forty-seven speech-language pathologists (SLPs) completed a written survey designed to obtain their opinions regarding the speech-language pathology needs of patients presenting with communication deficits following traumatic brain injury, cerebrovascular accident and cerebral palsy. Results indicated that over one-half of the SLPs in the study cited the most common reason that speech therapy is stopped is due to lack of insurance coverage, not because the patient reached maximum improvement. After discharge from services, 78-92% of SLPs affirmed that their patients would have benefitted from ongoing speech-language treatment if insurance limitations were not a consideration. In many instances, therapy was recommended for …

Employment Outcomes Among Individuals With Visual Impairments: The Role Of Client Satisfaction And Acceptance Of Vision Loss, Song-Jae Jo, Roy K. Chen, John F. Kosciulek

School of Rehabilitation Services & Counseling Faculty Publications

This study examined the relationship of client satisfaction with the vocational rehabilitation (VR) process and acceptance of vision loss with respect to employment outcomes among former VR clients with visual impairments. Participants were 128 clients of the Michigan Commission for the Blind (MCB) whose cases were closed between fiscal years 2003 and 2004. The results of a logistic regression analysis indicated that participants who reported higher levels of client satisfaction and who focused on their remaining assets (e.g., functions, abilities) after vision loss were more likely to be employed at the time of case closure than their counterparts who did …

Major Depressive Disorder Among Individuals Who Are Deaf: Implications For Rehabilitation Professionals, Sandra Hansmann, Shawn P. Saladin, Diana M. Fraser-Mendez

School of Rehabilitation Services & Counseling Faculty Publications

Major Depressive Disorder (MDD) is a potentially disabling condition which adversely affects psychosocial functioning in the lives of many people. Individuals who are prelingually and/or profoundly Deaf are especially at risk of misdiagnoses, which in turn may prevent them from receiving the treatment needed to reach their full potential in independent living or vocational rehabilitation. This article reviews general depressive symptomology, followed by a discussion of challenges associated with diagnosing MDD in individuals who are Deaf. Suggestions for therapeutic interventions are also included. The article concludes with a summary of the implications of Deafness and MDD for independent living and …

Life Satisfaction Among People With Progressive Disabilities, Roy K. Chen, Nancy M. Crewe

School of Rehabilitation Services & Counseling Faculty Publications

This study investigated the life satisfaction among 218 individuals with progressive disabilities, who were recruited through the Muscular Dystrophy Association and the National Multiple Sclerosis Society. Participants completed questionnaires containing several scales measuring predictor and outcome variables. Regression analyses were performed to analyze the quantitative data. The results indicated that 49% of the variance in life satisfaction among individuals with neuromuscular and neurological diseases was explained in the regression model. The best predictors of life satisfaction were the level of acceptance of disability, hope, spiritual well-being; age, sex, marital status, and employment status. This study suggests the importance of understanding …

A Survey Of Physical Therapists: Long Term Therapy Needs For Persons With Severe Disabilities, Irmo Marini, Karen Luckett, Eva Miller, E. Lisette Blanco

School of Rehabilitation Services & Counseling Faculty Publications

Sixty-three physical therapists participated in a survey designed to obtain their opinions regarding long-term and on-going future therapy recommendations for patients with spinal cord injuries, reflex sympathetic dystrophy, traumatic brain injuries, cerebral vascular accidents, cerebral palsy, and severe burns. Overall, therapists indicated these patients needed on-going therapy due to a loss or impairment of motor skills, ambulation skills, and loss or impairment of self-care skills. The primary reason reported for patients not returning to physical therapy for on-going treatment following their acute care was lack of insurance coverage or end of insurance benefits. This study outlines the implications for life …

Attitudes Of College Students Toward People With Disabilities, Wonsun (S.) Seo, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

The current study sought to explore attitudinal differences in college students toward people with disabilities (PWD) based on their demographic backgrounds and levels of prior contact. Participants were 311 undergraduate and graduate students at a large public university in the Midwest. Using the Attitudes Towards Disabled Persons Scale, Form-O (Yuker & Block, 1986) and the Contact with Disabled Persons Scale (Yuker & Hurley, 1987), a moderate positive correlation between attitudes and levels of contact was found (r = .302, p < .001). Significant differences in the mean scores of the ATDP were observed for different demographic groups. A subsequent ANCOVA indicated that levels of prior contact were influential on attitudes towards PWD. Implications for rehabilitation practice and future research are discussed.

The Physical And Psychosocial Health Status Of Clients With Spinal Cord Injury Awarded Damages In Litigation, Irmo Marini, Eva Miller

School of Rehabilitation Services & Counseling Faculty Publications

As the specialization of life care planning continues to evolve, a greater emphasis is occurring from both within the discipline and externally for empirically driven data to support life care planner opinions. One area remaining unresolved pertains to life care planners’ knowledge of how, or if, their life care plan has been implemented post-settlement. A related area pertains to the daily physical and psychosocial health issues of persons with spinal cord injury which can impact the development of their life care plan. The present pilot study explored injury related characteristics and the post-settlement expenditures of former life care plan clients …

Enhancing The Rehabilitation Counseling Process: Understanding The Obstacles To Asian Americans' Utilization Of Services, Roy K. Chen, Song-Jae Jo, Chandra M. Donnell

School of Rehabilitation Services & Counseling Faculty Publications

Improving rehabilitation services for Asian Americans with disabilities through the rehabilitation counseling process remains as an ongoing challenge. Despite being the fastest growing ethnic group in the United States, past studies have reported low utilization rates of vocational rehabilitation and mental health services among this population. This article (a) describes Asian American views on disabilities from religious, philosophical, and spiritual perspectives; (b) reviews factors that may contribute to their being underserved in the rehabilitation; (c) discusses the influence of family dynamics on the rehabilitation process; (d) underscores unique employment challenges facing the Asian Immigrant community; and (e) draws out the …

An Educational Curriculum For Teaching Life Care Planning, Rodney N. Isom, Irmo Marini

School of Rehabilitation Services & Counseling Faculty Publications

Life care planning is a service offered by some rehabilitation consultants. However, few graduate rehabilitation counseling programs offer a course in life care planning. This article outlines the proposed content for a graduate level course in life care planning. The curriculum outlines the teaching content, resources, and teaching recommendations for 15 weeks of instruction. Relevant resources are included. “A Life Care Plan is a dynamic document based upon published standards of practice, comprehensive assessment, data analysis and research, which provides an organized concise plan for current and future needs with associated costs, for individuals who have experienced catastrophic injury or …

Life Care Planning: Rehabilitation Education Curricula And Faculty Needs, Rodney N. Isom, Irmo Marini, Chuck Reid

School of Rehabilitation Services & Counseling Faculty Publications

A survey of programs providing vocational rehabilitation counselor education demonstrated little available curriculum regarding life care planning and expert testimony. This article reports on the results of a survey study and suggests that curriculum specific to life care planning and case management be added to university rehabilitation counselor training programs.

Attitudes Toward People With Disabilities In The Social Context Of Dating And Marriage: A Comparison Of American, Taiwanese, And Singaporean College Students, Roy K. Chen, M. G. Brodwin, E. Cardoso, F. Chan

School of Rehabilitation Services & Counseling Faculty Publications

The purpose of this study is to examine the attitudes of American, Taiwanese, and Singaporean students toward people with disabilities in the general context, as well as the specific social context of dating and marriage. The participants include 212 Taiwanese, 115 Singaporean, and 186 American students. They were given the Attitudes Toward Disabled Persons Scale, Form A (ATDP-A) and the Attitudes Toward Dating and Marriage Scale (ATDMS); the results indicated significant differences between American and Asian students in both the general and specific social contexts. Female American students consistently revealed the most favorable attitudes toward people with disabilities. Implications for …